JP5898500B2 - Hard tissue regeneration promoter - Google Patents

Hard tissue regeneration promoter Download PDF

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JP5898500B2
JP5898500B2 JP2012005534A JP2012005534A JP5898500B2 JP 5898500 B2 JP5898500 B2 JP 5898500B2 JP 2012005534 A JP2012005534 A JP 2012005534A JP 2012005534 A JP2012005534 A JP 2012005534A JP 5898500 B2 JP5898500 B2 JP 5898500B2
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bone
diatomaceous earth
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hard tissue
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JP2012116844A (en
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俊樹 大黒
俊樹 大黒
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俊樹 大黒
俊樹 大黒
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/54Biologically active materials, e.g. therapeutic substances
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23KFODDER
    • A23K20/00Accessory food factors for animal feeding-stuffs
    • A23K20/20Inorganic substances, e.g. oligoelements
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23KFODDER
    • A23K20/00Accessory food factors for animal feeding-stuffs
    • A23K20/20Inorganic substances, e.g. oligoelements
    • A23K20/24Compounds of alkaline earth metals, e.g. magnesium
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L29/00Foods or foodstuffs containing additives; Preparation or treatment thereof
    • A23L29/015Inorganic compounds
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/20Reducing nutritive value; Dietetic products with reduced nutritive value
    • A23L33/21Addition of substantially indigestible substances, e.g. dietary fibres
    • A23L33/29Mineral substances, e.g. mineral oils or clays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/02Medicinal preparations containing materials or reaction products thereof with undetermined constitution from inanimate materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/02Algae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3637Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix characterised by the origin of the biological material other than human or animal, e.g. plant extracts, algae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/08Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/20Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
    • A61L2300/30Compounds of undetermined constitution extracted from natural sources, e.g. Aloe Vera
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/404Biocides, antimicrobial agents, antiseptic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/41Anti-inflammatory agents, e.g. NSAIDs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/412Tissue-regenerating or healing or proliferative agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2300/00Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
    • A61L2300/40Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
    • A61L2300/428Vitamins, e.g. tocopherol, riboflavin

Description

関連出願へのクロスリファレンス
本出願は、2006年9月21日付で出願した日本国特許出願第2006−256374号に基づく優先権を主張するものであり、当該基礎出願を引用することにより本明細書に含めるものとする。
技術分野
本発明は、硬組織の再生に有用な薬剤、医薬組成物、食品組成物、食品、動物用飼料等に関する。
CROSS REFERENCE TO RELATED APPLICATION This application claims priority based on Japanese Patent Application No. 2006-256374 filed on Sep. 21, 2006, and this specification is incorporated herein by reference. To be included.
TECHNICAL FIELD The present invention relates to drugs, pharmaceutical compositions, food compositions, foods, animal feeds and the like useful for the regeneration of hard tissues.

硬組織の欠陥部あるいは欠損部を修復するために、従来、人造ハイドロキシアパタイト、牛骨乾燥粉末、珪酸ガラス粉末、ポルトランドセメントを含む充填材を硬組織の欠陥部あるいは欠損部に充填する方法(特許文献1)、SiO2(45重量%)、CaO(24.5重量%)、Na2O(24.5重量%)、及びP2O5(6重量%)を混合した混合物を融解した後粉砕することにより得られた300〜360μmの粒状材料を欠陥部あるいは欠損部内に挿入して骨組織を形成させる方法(特許文献2)、骨再生を促進する薬剤(特許文献3)などが開発されている。 In order to repair a defect or defect in a hard tissue, a conventional method of filling a defect or defect in a hard tissue with a filler containing artificial hydroxyapatite, dried beef bone powder, silicate glass powder, or Portland cement (patent) Reference 1), after melting a mixture of SiO 2 (45 wt%), CaO (24.5 wt%), Na 2 O (24.5 wt%), and P 2 O 5 (6 wt%) A method of forming a bone tissue by inserting a 300 to 360 μm granular material obtained by grinding into a defect or defect (Patent Document 2), a drug that promotes bone regeneration (Patent Document 3), and the like have been developed. ing.

米国特許第5769638号明細書US Pat. No. 5,769,638 特開平3−136664号公報JP-A-3-136664 特開2003−55237号公報JP 2003-55237 A

本発明は、費用面でも労力面でも低コストで準備可能な、欠陥あるいは欠損した硬組織の再生に有用な物質を含有する硬組織再生促進剤、医薬組成物、食品組成物、食品、動物用飼料等を提供することを目的とする。   The present invention relates to a hard tissue regeneration accelerator, a pharmaceutical composition, a food composition, a food, and an animal containing a substance useful for regeneration of a defective or deficient hard tissue that can be prepared at low cost both in terms of cost and labor. The purpose is to provide feed.

本発明者らは、実施例に示すように、硬組織が欠損した部分の近傍の骨膜下に珪藻土を投与したり、珪藻土を経口投与したりすることにより、欠損した硬組織の再生が促進することを見出し、本発明を完成するに至った。   As shown in the Examples, the present inventors promote the regeneration of the deficient hard tissue by administering diatomaceous earth under the periosteum near the portion where the hard tissue is deficient or orally administering the diatomaceous earth. As a result, the present invention has been completed.

すなわち、本発明に係る硬組織再生促進剤は、珪藻土を有効成分として含有する。前記硬組織は、例えば、硬骨、修復象牙質などである。前記硬骨は、例えば、歯槽骨などである。本発明に係る硬組織再生促進剤は、例えば、骨膜下に投与(充填)するものであってもよいし、抜歯等で欠損した骨髄腔内、又は骨折した部位の近傍の骨髄腔内に投与するものであってもよいし、あるいは、経口投与するものであってもよい。   That is, the hard tissue regeneration promoter according to the present invention contains diatomaceous earth as an active ingredient. The hard tissue is, for example, a hard bone or a repaired dentin. The bone is, for example, an alveolar bone. The hard tissue regeneration-promoting agent according to the present invention may be administered (filled) under the periosteum, or administered into the bone marrow cavity that is missing due to extraction or the bone marrow cavity near the fractured site. Or may be administered orally.

また、本発明に係る医薬組成物は、珪藻土を有効成分として含有する。本発明に係る医薬組成物は、骨膜下に投与する製剤であってもよいし、抜歯等で欠損した骨髄腔内、又は骨折した部位の近傍の骨髄腔内に投与する製剤であってもよいし、あるいは、経口投与する製剤であってもよい。   Moreover, the pharmaceutical composition which concerns on this invention contains diatomaceous earth as an active ingredient. The pharmaceutical composition according to the present invention may be a preparation administered under the periosteum, or may be a preparation administered into the bone marrow cavity deficient by tooth extraction or the bone marrow cavity near the fractured site. Alternatively, it may be a preparation for oral administration.

さらに、本発明に係る食品組成物は、珪藻土を含む。
本発明に係る食品は、珪藻土を含む。
また、本発明に係る動物用飼料は、珪藻土を含む。
Furthermore, the food composition according to the present invention contains diatomaceous earth.
The food according to the present invention contains diatomaceous earth.
Moreover, the animal feed which concerns on this invention contains diatomaceous earth.

なお、本明細書において「珪藻土」とは、珪藻の遺骸からなる堆積物を意味し、海洋性珪藻類が堆積した海洋性珪藻土(珪藻軟泥を含む。)、淡水性珪藻類が堆積した淡水性珪藻土等を含む。本発明に係る薬剤、医薬組成物、食品組成物、食品、動物用飼料等に含ませる珪藻土は、高温で焼成した焼成物であってもよいし、自然乾燥した乾燥物であってもよい。   In this specification, “diatomaceous earth” means sediments made of diatom remains, including marine diatomaceous earth (including diatom soft mud) on which marine diatoms are deposited, and freshwater on which freshwater diatoms are deposited. Including diatomaceous earth. The diatomaceous earth contained in the drug, pharmaceutical composition, food composition, food, animal feed and the like according to the present invention may be a fired product fired at a high temperature or a naturally dried product.

本発明の一実施形態として説明する歯の構造を示す図である。It is a figure which shows the structure of the tooth | gear demonstrated as one Embodiment of this invention. 本発明の一実施形態として説明する骨の構造を示す図である。It is a figure which shows the structure of the bone demonstrated as one Embodiment of this invention. 本発明の一実施例において、珪藻土の骨膜下投与後に、抜歯した部分付近及び珪藻土投与部分付近をマイクロフォーカスX線拡大観察装置により観察した結果を示す図である。In one Example of this invention, it is a figure which shows the result of having observed the extracted tooth vicinity and the diatomaceous earth administration part vicinity by the micro focus X-ray enlarged observation apparatus after subperiosteal administration of diatomaceous earth. 本発明の一実施例において、珪藻土の骨膜下投与後に、抜歯した部分付近及び下歯槽部をマイクロフォーカスX線拡大観察装置により観察した結果を示す図である。In one Example of this invention, it is a figure which shows the result of having observed the extracted part vicinity and the lower alveolar part by the microfocus X-ray enlarged observation apparatus after subperiosteal administration of diatomaceous earth. 本発明の一実施例において、珪藻土の経口投与により抜歯後やインプラント床骨穿孔後の骨再生・治癒が促進されることを、EPMAによるカルシウムと珪藻土由来の珪素の元素マッピング法で検証した結果を示す図である。In one example of the present invention, bone regeneration and healing after tooth extraction or implant floor bone drilling is promoted by oral administration of diatomaceous earth. FIG. 本発明の一実施例において、人為的に穿孔した下肢骨に対して、珪藻土の経口投与により骨再生が促進されることをマイクロフォーカスX線顕微観察システムによって観察した結果を示す写真である。In one Example of this invention, it is a photograph which shows the result of having observed the bone regeneration by the oral administration of diatomaceous earth by the micro focus X-ray microscopic observation system with respect to the leg bone which was artificially perforated. 本発明の一実施例において、人為的に穿孔した下肢骨に対して、珪藻土の経口投与により骨再生が促進されることをマイクロCTシステムによってX線顕微立体観察した結果を示す写真である。なお、これら画像の中で骨近辺、骨髄腔内に認める直線的なハイコントラスト陰影(白い矢印で示されている)はいずれも血管造影によるものであり、骨再生の所見に関係しない。In one Example of this invention, it is a photograph which shows the result of having observed the X-ray microscopic three-dimensional observation by the micro CT system that bone regeneration was accelerated | stimulated by oral administration of diatomaceous earth with respect to the leg bone which was artificially perforated. In these images, linear high-contrast shadows (indicated by white arrows) recognized in the vicinity of the bone and in the bone marrow cavity are all due to angiography and are not related to the findings of bone regeneration. 図7−1の続きを示す図である。It is a figure which shows the continuation of FIGS. 本発明の一実施例において、図7に示したX線顕微画像情報から骨塩量を定量分析した結果を示す写真である。8 is a photograph showing the result of quantitative analysis of the amount of bone mineral from the X-ray microscopic image information shown in FIG. 7 in one example of the present invention. 図8−1の続きを示す図である。It is a figure which shows the continuation of FIGS.

以下、上記知見に基づき完成した本発明の実施の形態を、実施例を挙げながら詳細に説明する。なお、市販の測定装置を用いる場合には、特に説明が無い限り、その装置に添付のプロトコールを用いる。   Hereinafter, embodiments of the present invention completed based on the above knowledge will be described in detail with reference to examples. In addition, when using a commercially available measuring apparatus, the protocol attached to the apparatus is used unless there is particular description.

また、本発明の目的、特徴、利点、及びそのアイデアは、本明細書の記載により、当業者には明らかであり、本明細書の記載から、当業者であれば、容易に本発明を再現できる。以下に記載された発明の実施の形態及び具体的な実施例などは、本発明の好ましい実施態様を示すものであり、例示又は説明のために示されているのであって、本発明をそれらに限定するものではない。本明細書で開示されている本発明の意図並びに範囲内で、本明細書の記載に基づき、様々な改変並びに修飾ができることは、当業者にとって明らかである。   The objects, features, advantages, and ideas of the present invention will be apparent to those skilled in the art from the description of the present specification, and those skilled in the art can easily reproduce the present invention from the description of the present specification. it can. The embodiments and specific examples of the invention described below show preferred embodiments of the present invention and are shown for illustration or explanation, and the present invention is not limited to them. It is not limited. It will be apparent to those skilled in the art that various modifications and variations can be made based on the description of the present specification within the spirit and scope of the present invention disclosed herein.

==珪藻土の薬理作用==
図1に示すように、歯100は、エナメル質10、象牙質20、セメント質80、歯髄30等からなり、歯肉(歯ぐき)40、歯根膜60、並びに、皮質骨(緻密骨)71、海綿骨72等から構成されており、硬組織である歯槽骨などの歯周組織により支持されている。
== Pharmacological action of diatomaceous earth ==
As shown in FIG. 1, a tooth 100 is composed of enamel 10, dentin 20, cementum 80, pulp 30 and the like, and gum (gum) 40, periodontal ligament 60, cortical bone (compact bone) 71, sponge It is composed of bone 72 and the like, and is supported by periodontal tissue such as alveolar bone which is a hard tissue.

実施例1に示すように、イヌで、抜歯した後、歯槽骨に付着している歯肉40を骨膜50とともにはがし、歯槽骨の表面を覆う骨膜50下に珪藻土を埋め込んだところ、珪藻土の投与部付近の皮質骨71上、歯100の欠損部(歯槽骨)付近の骨髄腔73の底部、及び骨髄腔73の上部において欠損した海綿骨72に新生骨の再生が促進されることが明らかになった。また、実施例2に示すように、抜歯した後、歯槽骨の内部をドリルで滑らかに削ったイヌに、珪藻土を経口投与することにより、皮質骨71上や歯100の欠損部(歯槽部海綿骨72)に新生骨の再生が同様に促進されることが明らかになった。従って、珪藻土は、抜歯、インプラントの埋入と固定、歯内・歯周疾患の原因菌の毒素、感染、手術による便宜的骨削除等による骨破壊、吸収、骨折などにより欠陥あるいは欠損した部分に硬組織の再生を促進させるのに有用であることがわかった。   As shown in Example 1, after extracting a tooth in a dog, the gingiva 40 adhering to the alveolar bone is peeled off along with the periosteum 50, and diatomaceous earth is embedded under the periosteum 50 covering the surface of the alveolar bone. It becomes clear that regeneration of new bone is promoted on the cortical bone 71 in the vicinity, on the bottom of the bone marrow cavity 73 in the vicinity of the defect part (alveolar bone) of the tooth 100 and on the cancellous bone 72 missing on the upper part of the bone marrow cavity 73. It was. In addition, as shown in Example 2, after extracting the teeth, the diatomaceous earth was orally administered to a dog whose inside of the alveolar bone was smoothly cut with a drill, so that a defect portion (alveolar sponge) on the cortical bone 71 or tooth 100 was obtained. It became clear that the regeneration of new bone was similarly promoted in the bone 72). Therefore, diatomaceous earth is removed or defective due to tooth extraction, implantation and fixation of implants, toxins of bacteria causing endodontic and periodontal diseases, infection, bone destruction due to expedient bone removal by surgery, resorption, fractures, etc. It has been found useful for promoting the regeneration of hard tissue.

また、硬組織である硬骨、例えば、図2に示すような上腕骨や大腿骨などの長い骨200の幹部は、骨膜110、皮質骨120、骨髄130などから構成されており、骨200の端部は、骨膜140、皮質骨150、海綿質160、骨髄などから構成されているが、このような硬骨も骨折、インプラントの埋入、細菌の毒素、化膿などにより一部が欠陥あるいは欠損した場合には、珪藻土をその近傍の骨膜110,140下に投与したり、骨髄腔内に投与したり、経口投与したりすることによって、欠陥あるいは欠損した部分に硬組織を再生させることができる(実施例3に、経口投与による下肢骨再生の例を示す)。従って、珪藻土は、骨折、インプラントの埋入、細菌の毒素、化膿などにより欠陥あるいは欠損した部分に硬組織の再生を促進させるのに有用である。   Further, the trunk of a hard bone, for example, a long bone 200 such as a humerus or a femur as shown in FIG. 2, is composed of a periosteum 110, a cortical bone 120, a bone marrow 130, and the like. The part is composed of periosteum 140, cortical bone 150, cancellous 160, bone marrow, etc., but such bones are also partially defective or missing due to fractures, implant placement, bacterial toxins, suppuration, etc. For example, diatomaceous earth can be administered under the periosteum 110, 140 in the vicinity thereof, administered into the bone marrow cavity, or orally, and thereby the hard tissue can be regenerated in a defective or defective part (implementation). Example 3 shows an example of lower limb bone regeneration by oral administration). Accordingly, diatomaceous earth is useful for promoting the regeneration of hard tissue in areas that are defective or defective due to fractures, implant placement, bacterial toxins, suppuration, and the like.

ここで、珪藻土によって再生を促進させることができる硬組織としては、例えば、硬骨(歯槽骨、顎骨、大腿骨、上腕骨、頚骨、橈骨、尺骨、椎骨など)、歯100の修復象牙質などを挙げることができる。また、使用する珪藻土としては、例えば、海洋性珪藻土、淡水性珪藻土などの珪藻が化石化したもの、あるいは、珪藻土の焼成物や乾燥物などであれば、特に限定されない。   Here, examples of hard tissues that can promote regeneration by diatomaceous earth include bones (alveolar bone, jawbone, femur, humerus, tibia, radius, ulna, vertebra, etc.), restoration dentin of tooth 100, and the like. Can be mentioned. The diatomaceous earth used is not particularly limited as long as it is a fossilized diatom such as marine diatomaceous earth or fresh water diatomaceous earth, or a fired or dried diatomaceous earth.

==本発明に係る薬剤、医薬組成物、食品組成物、及び食品等について==
上述のように、珪藻土は、欠陥又は欠損した硬組織の再生を促進することから、珪藻土は、欠陥又は欠損した硬組織の再生が必要な患者に対する医薬又は食品の組成物、さらには、欠陥又は欠損した硬組織の再生が必要な患畜に対する飼料の組成物として有用であり、珪藻土を有効成分として含有する薬剤は、欠陥又は欠損した硬組織の再生を促進する薬剤として有用であり、また、珪藻土を含有する食品は、機能性食品、特定保険用食品等として、欠陥又は欠損した硬組織の再生が必要な患者に有用であり、珪藻土を含有する動物用飼料は、欠陥又は欠損した硬組織の再生が必要な患畜に有用である。また、珪藻土は自然材料なので安価で多量に入手できることから、費用面でも労力面でも低コストで本発明に係る薬剤、医薬組成物、食品組成物、及び食品等を提供することができる。
== About the drug, pharmaceutical composition, food composition, food, etc. according to the present invention ==
As described above, diatomaceous earth promotes regeneration of defective or deficient hard tissue, so diatomaceous earth is a pharmaceutical or food composition for patients in need of regeneration of defective or deficient hard tissue, It is useful as a feed composition for livestock that needs regeneration of deficient hard tissue, and a drug containing diatomaceous earth as an active ingredient is useful as a drug that promotes regeneration of deficient or deficient hard tissue. Is useful for patients who need to regenerate defective or deficient hard tissues, such as functional foods, foods for specified insurance, etc. Animal feed containing diatomaceous earth is useful for deficient or deficient hard tissues. Useful for livestock that needs to be regenerated. Moreover, since diatomaceous earth is a natural material and can be obtained in a large amount at a low cost, it is possible to provide a drug, a pharmaceutical composition, a food composition, a food, and the like according to the present invention at low cost and labor.

本発明に係る薬剤としては、珪藻土を有効成分として含有するものであれば特に制限されるものではなく、使用する部位又は目的、投与形態などに応じて、薬理学的に許容された製剤添加物(例えば、賦形剤、pH調整剤、結合剤、滑沢剤、崩壊剤、矯味剤、溶剤、安定剤、糖衣剤、保存剤、緩衝剤、懸濁化剤、乳化剤、芳香剤、溶解補助剤、着色剤、粘稠剤など)をさらに含んでいてもよい。また、歯周組織の修復や再生を促進したり、細菌の感染を予防したり、炎症を抑制したりするための薬剤、例えば、ポリリン酸ナトリウム等のポリリン酸塩、創傷被覆剤としてのアルギン酸などをさらに含んでいてもよい。   The drug according to the present invention is not particularly limited as long as it contains diatomaceous earth as an active ingredient, and is a pharmacologically acceptable formulation additive depending on the site or purpose to be used, dosage form, etc. (For example, excipients, pH adjusters, binders, lubricants, disintegrating agents, flavoring agents, solvents, stabilizers, sugar coatings, preservatives, buffers, suspending agents, emulsifiers, fragrances, solubilizers Agents, colorants, thickeners, etc.). Also, agents for promoting periodontal tissue repair and regeneration, preventing bacterial infection, and suppressing inflammation, such as polyphosphates such as sodium polyphosphate, alginic acid as a wound dressing, etc. May further be included.

なお、本発明に係る薬剤は、ヒトまたはヒト以外の脊椎動物に対し、例えば、経口投与することとしてもよいし、骨髄腔や骨膜50,110,140下等に投与することとしてもよい。本発明に係る薬剤を経口投与する場合には、錠剤、カプセル剤、顆粒剤、散剤、シロップ剤、丸剤などの製剤にしてもよく、骨膜50,110,140下に投与する場合には、注射剤などの製剤にしてもよい。なお、これらの製剤は、上述の製剤添加物を用いて、常法により製造することができる。   The drug according to the present invention may be administered, for example, orally to humans or non-human vertebrates, or may be administered below the bone marrow cavity, periosteum 50, 110, 140, or the like. When orally administering the drug according to the present invention, it may be a tablet, capsule, granule, powder, syrup, pill or the like, and when administered under the periosteum 50, 110, 140, It may be a preparation such as an injection. These preparations can be produced by a conventional method using the above-mentioned preparation additives.

また、本発明に係る食品は、珪藻土を含むものであればどのようなものでもよく、その他、ビタミンA、C、E、Kやポリフェノール等の抗酸化物質、アスパルテームやキシリトール等の甘味料、ソルビン酸カリウムや安息香酸ナトリウム等の保存料、亜硫酸ナトリウムやL−アスコルビン酸ナトリウム等の酸化防止剤、ウコン色素やパプリカ色素等の着色料、アミノ酸や蓄肉エキス等の調味料、クエン酸やリンゴ酸等の酸味料などの既存の食品添加物をさらに含んでいてもよい。   The food according to the present invention may be any food containing diatomaceous earth, other antioxidants such as vitamins A, C, E, K and polyphenols, sweeteners such as aspartame and xylitol, sorbine Preservatives such as potassium acid and sodium benzoate, antioxidants such as sodium sulfite and sodium L-ascorbate, colorants such as turmeric and paprika, seasonings such as amino acids and meat extract, citric acid and malic acid It may further contain existing food additives such as acidulants.

本発明に係る食品としては、例えば、カプセル、錠剤、顆粒等の形状をしたサプリメント、麺類(例えば、うどん等)、ヨーグルト、アメ(キャンディ、ドロップなど)、ふりかけなどの形態として使用することができるが、これらに制限されるものではない。なお、本発明に係る食品は、最終的に、固形物、粉末、液状、液体状、クリーム状、ゲル状など、どんな形状であってもよい。また、本発明に係る食品は、基本的には健常人に投与することを目的とするが、欠陥または欠損した硬組織の再生が必要な患者が摂取してもよい。   The food according to the present invention can be used in the form of, for example, supplements in the form of capsules, tablets, granules, etc., noodles (for example, udon), yogurt, candy (candy, drop, etc.), and sprinkles. However, it is not limited to these. Note that the food according to the present invention may finally have any shape such as a solid, powder, liquid, liquid, cream, or gel. The food according to the present invention is basically intended to be administered to a healthy person, but may be taken by a patient who needs to regenerate a defective or defective hard tissue.

本発明に係る動物用飼料としては、珪藻土を含むものであればどのようなものでもよく、その他、抗酸化剤、防かび剤、粘結剤、乳化剤、調整剤、アミノ酸、ビタミン、ミネラル、色素、合成抗菌剤、抗生物質、着香料、呈味剤、酵素、生菌剤などの既存の飼料添加物をさらに含んでいてもよい。   The animal feed according to the present invention may be anything as long as it contains diatomaceous earth. Besides, antioxidants, fungicides, binders, emulsifiers, regulators, amino acids, vitamins, minerals, pigments Further, it may further contain existing feed additives such as synthetic antibacterial agents, antibiotics, flavoring agents, flavoring agents, enzymes and viable bacteria agents.

==本発明に係る薬剤、医薬組成物、及び食品等の使用方法==
珪藻土を有効成分として含有する硬組織再生促進剤は、非経口的に、欠陥又は欠損した硬組織を有する患者のどこに投与してもよいが、硬組織の欠陥又は欠損した部分に直接投与したり、硬組織の再生が必要な部分の近辺に投与したりすることが好ましい。例えば、再生が必要な硬骨に最も近い骨膜50,110,140下、または歯100の歯髄腔穿孔部AA、根尖31、若しくは根管32に投与すれば、硬骨の再生が促進される。また、歯100が欠陥又は欠損した場合には、欠陥又は欠損した歯100の象牙質20等に充填すれば、修復象牙質の再生が促進される。特に、歯髄30に至るまで歯100が欠陥又は欠損した場合には、歯髄30が露出しないように、欠陥又は欠損した歯100の象牙質20等に充填すればよい。なお、投与方法は、注入、塗布、充填など、特に限定されない。あるいは、欠陥又は欠損した硬組織を有する患者に対し、経口的に硬組織再生促進剤を投与してもよい。
== Usage Method of Drug, Pharmaceutical Composition, Food, etc. According to the Present Invention ==
The hard tissue regeneration promoter containing diatomaceous earth as an active ingredient may be administered parenterally to any patient having a defective or defective hard tissue, but may be administered directly to a defective or defective portion of the hard tissue. It is preferable to administer it in the vicinity of a portion that requires regeneration of hard tissue. For example, when administered to the periosteum 50, 110, 140 closest to the bone that needs to be regenerated or to the pulp cavity perforation AA, the apex 31, or the root canal 32 of the tooth 100, regeneration of the bone is promoted. Further, when the tooth 100 is defective or missing, the restoration of the repaired dentin is promoted by filling the dentin 20 or the like of the defective or missing tooth 100. In particular, when the tooth 100 is defective or missing until reaching the dental pulp 30, the dentin 20 or the like of the defective or missing tooth 100 may be filled so that the dental pulp 30 is not exposed. The administration method is not particularly limited, such as injection, application, and filling. Alternatively, a hard tissue regeneration accelerator may be administered orally to a patient having a defective or deficient hard tissue.

また、硬組織再生促進作用を迅速に発揮できるように、硬組織が欠陥又は欠損する以前から、珪藻土を有効成分として含有する医薬組成物または食品として、珪藻土を摂取してもよい。   In addition, diatomaceous earth may be ingested as a pharmaceutical composition or food containing diatomaceous earth as an active ingredient before the hard tissue is defective or deficient so that the hard tissue regeneration promoting action can be rapidly exhibited.

以下に本発明を実施例によって具体的に説明する。なお、これらの実施例は本発明を説明するためのものであって、本発明の範囲を限定するものではない。   Hereinafter, the present invention will be specifically described by way of examples. These examples are for explaining the present invention, and do not limit the scope of the present invention.

[実施例1]
歯槽骨を欠損させたイヌに対し、欠損部位における新生骨の再生を促進させるため、珪藻土を骨膜下投与した。
抜歯した際、同時にイヌの歯肉と骨膜をともに骨膜剥離子を用いてはがし、骨膜下に蒸留水に溶かしてペースト状にした珪藻土(乾燥品;中央化成株式会社、中央シリカ株式会社)0.2 gを埋め込んだ。1ヶ月後に珪藻土を注入した近傍をポニー工業(株)製マイクロフォーカスX線検査装置P70−II(焦点サイズ 10μm×10μm)を用い、コダック社製フィル、富士フィルムメディカル(株)製イメージングプレートHRを内蔵したカセットを幾何学的拡大率3倍となるよう配置し、撮影条件(30KV 90μA フィルムは15min、イメージングプレートは30sec)にてフィルム(図3)またはイメージングプレート(図4)に拡大X線撮影した。なお、イメージングプレートはFCR 50000MA(FCR(Fuji Computed Radiography:デジタルX線画像診断システム);富士写真フィルム株式会社製)を用いて画像情報の読み取り・観察を行った(観察部分:図1参照)。また、コントロールとして、珪藻土を投与しないイヌのマイクロフォーカスX線拡大観察装置による観察も行った。その結果を図3及び図4に示す。なお、図3中の鏃は珪藻土投与部を示す。
[Example 1]
Diatomaceous earth was administered subperiosteally to dogs lacking alveolar bone to promote the regeneration of new bone at the defect site.
At the time of extraction, diatomaceous earth (dried product; Chuo Kasei Co., Ltd., Chuo Silica Co., Ltd.) 0.2 g was peeled off by using a periosteum exfoliator, and dissolved in distilled water under the periosteum. Embedded. One month later, in the vicinity where diatomaceous earth was injected, a micro focus X-ray inspection apparatus P70-II (focal size: 10 μm × 10 μm) manufactured by Pony Industry Co., Ltd. was used, and a Kodak Phillips and Fuji Film Medical Co., Ltd. imaging plate HR The built-in cassette is arranged so that the geometric magnification is tripled, and the X-ray image is taken on the film (Fig. 3) or imaging plate (Fig. 4) under the imaging conditions (30KV 90μA film 15min, imaging plate 30sec). did. The imaging plate was read and observed using FCR 50000MA (FCR (Fuji Computed Radiography: Digital X-ray image diagnostic system); manufactured by Fuji Photo Film Co., Ltd.) (observation part: see FIG. 1). In addition, as a control, a dog not administered with diatomaceous earth was also observed with a microfocus X-ray magnifier. The results are shown in FIGS. In addition, the cocoon in FIG. 3 shows a diatomaceous earth administration part.

珪藻土を投与しないイヌでは、抜歯窩下部の骨髄腔内壁(図4)、及び骨膜下皮質(緻密)骨上にわずかな新生骨の形成しか見られないのに対し、図3及び図4に示すように、骨膜下に珪藻土を投与したイヌでは、抜歯窩の骨髄腔底部(図3中の四角枠囲い部分及び図4中の丸枠囲い部分)、骨髄腔側壁(図3中の丸枠囲い部分、参照)、珪藻土投与部付近の骨膜下皮質骨上(図3中の矢印)、及び下歯槽部(図4中の矢印)に幼弱な新生骨の形成や、抜歯窩の骨髄腔に海綿骨(図3中のV字)の形成が見られ、これらの部分を経時的に観察した結果、骨膜下皮質骨上→骨髄腔底部、側壁→骨髄腔内の海綿骨の順で新生骨が形成された。このように、珪藻土は、骨膜下投与により骨新生を促進する。また、珪藻土を骨膜下に投与しても骨髄腔内に新生骨が形成されることから、直接骨髄腔内に投与しても骨新生が促進されることがわかった。   In dogs to which diatomaceous earth is not administered, only a small amount of new bone is formed on the inner wall of the bone marrow cavity (Fig. 4) and the subperiosteal cortex (compact) bone in the lower part of the extraction cavity, as shown in Figs. Thus, in dogs to which diatomaceous earth was administered under the periosteum, the bottom of the bone marrow cavity of the tooth extraction socket (the square frame enclosed part in FIG. 3 and the round frame enclosed part in FIG. 4), the bone marrow cavity side wall (the round frame enclosed in FIG. 3) Part), on the subperiosteal cortical bone near the diatomaceous earth administration part (arrow in FIG. 3), and formation of young new bone on the lower alveolar part (arrow in FIG. 4), and in the bone marrow cavity of the extraction socket The formation of cancellous bone (V-shape in FIG. 3) was observed, and as a result of observing these portions over time, the new bone in the order of subperiosteal cortical bone → bottom of bone marrow cavity, side wall → cancellous bone in bone marrow cavity Formed. Thus, diatomaceous earth promotes bone formation by subperiosteal administration. In addition, it was found that, even when diatomaceous earth was administered under the periosteum, new bone was formed in the bone marrow cavity, so that bone neogenesis was promoted even when administered directly into the bone marrow cavity.

[実施例2]
次に、歯槽骨を欠損させたイヌに対し、欠損部位における新生骨の再生を促進させるため、珪藻土を経口投与した。
抜歯した後、歯槽骨の内部をドリルで滑らかに削ったイヌに、珪藻土を飼料一日量の2〜5%にあたる8〜20gを餌とともに毎日経口投与した。1ヶ月後に切片を作製し、欠損させた歯槽骨の近傍の骨新生組織をEPMA(Electron Probe Micro Analyzer;Shimadzu EPMA8705、加速電圧20kV, 試料吸収電流15nA, MAP 512×512 point)を用いてカルシウムと珪素との元素マッピングを行った(観察部分:図1参照)。その結果を図5に示す。
[Example 2]
Next, diatomaceous earth was orally administered to dogs lacking alveolar bone in order to promote regeneration of new bone at the defect site.
After extraction, 8-20 g of diatomaceous earth corresponding to 2-5% of the daily amount of feed was orally administered daily to a dog whose alveolar bone was smoothly cut with a drill. One month later, a section was prepared, and the osteogenic tissue in the vicinity of the missing alveolar bone was analyzed with calcium using EPMA (Electron Probe Micro Analyzer; Shimadzu EPMA8705, acceleration voltage 20 kV, sample absorption current 15 nA, MAP 512 × 512 point). Element mapping with silicon was performed (observed portion: see FIG. 1). The result is shown in FIG.

図5に示すように、珪藻土由来の珪素(図5中の白い粉状のシグナル)が骨の内部に分布しており、その周囲に(歯槽骨内の海綿骨の欠損部)に新生骨(図5中において、欠損させた骨の灰色部分)が形成していた。また、皮質骨71上においても新生骨の形成が見られた(図5中の枠囲い部分)。このことから、珪藻土を経口投与しても、骨欠損部位まで珪素が到達し、新生骨が形成することが明らかになった。従って、珪藻土は、骨膜下投与、骨髄腔投与だけでなく、経口投与でも有効であると結論された。   As shown in FIG. 5, silicon derived from diatomaceous earth (white powdery signal in FIG. 5) is distributed inside the bone, and new bone ( In FIG. 5, a gray portion of the lost bone) was formed. In addition, formation of new bone was also observed on the cortical bone 71 (framed portion in FIG. 5). From this, it was clarified that even when diatomaceous earth was orally administered, silicon reached the bone defect site and new bone was formed. Therefore, it was concluded that diatomaceous earth is effective not only by subperiosteal administration and bone marrow cavity administration but also by oral administration.

[実施例3]
さらに、ラット下肢骨を人為的に穿孔し、孔部における新生骨の再生を促進させるため、珪藻土を経口投与した。
[Example 3]
Furthermore, diatomaceous earth was orally administered in order to artificially perforate rat lower limb bones and promote regeneration of new bones in the pores.

〈検体の処理〉
実験用ラットとして、BrlHan:WIST@Jcl(GALAS)(日本クレア社:9週齢♀)を用い、馴化後、処置予定日2日前より群分けした。
処置当日、骨膜を可及的に損傷しないようにラットの下肢骨(脛骨)を露出し、歯科インプラント用ドリル(ラウンドバー)を用いて、生理食塩水注水下で直径約2mm、深さ約3mm強の孔を開けた。深さについてはラウンドバー頭部が皮質骨を骨髄側へ完全穿孔・交通することを確認した。その後、標準試料CE-2に対し重量比で2%、5%、10%の珪藻土を添加混合して電子線滅菌したものを経口投与し飼育した。
穿孔手術後2週間、4週間、5週間で、各個体より左右側下肢を切除し、各側に分別してホルマリン固定後、処理するまで冷却保存した。なお、比較のため、コントロールとして、同様に穿孔手術後、標準飼料CE-2のみの珪藻土を添加しない飼料を電子線滅菌したものを経口投与し個体の飼育・処理・観察を行った。
<Sample processing>
As experimental rats, BrlHan: WIST @ Jcl (GALAS) (CLEA Japan, Inc .: 9-week-old mouse) was used, and after acclimatization, the rats were divided into groups from 2 days before the scheduled treatment date.
On the day of treatment, the lower limb bone (tibia) of the rat was exposed so as not to damage the periosteum as much as possible, and a dental implant drill (round bar) was used to inject about 2 mm in diameter and about 3 mm in depth under saline injection. A strong hole was drilled. Regarding the depth, it was confirmed that the head of the round bar completely perforated and transported the cortical bone to the bone marrow side. Thereafter, 2%, 5%, and 10% diatomaceous earth added to the standard sample CE-2 and sterilized by electron beam sterilization were orally administered and reared.
At 2 weeks, 4 weeks, and 5 weeks after perforation surgery, the left and right lower limbs were excised from each individual, separated into each side, fixed in formalin, and then stored cold until processed. For comparison, as a control, after a perforation operation, a feed containing only the standard feed CE-2 without diatomaceous earth sterilized with an electron beam was orally administered, and the individuals were reared, treated and observed.

〈試料の作製及び観察方法〉
(1)マイクロフォーカスX線顕微観察システムによるX線顕微的観察
まず、穿孔創傷部を非破壊的に観察する目的で、骨より軟組織を一切の除去をしないまま、一塊で、ポニー工業(株)製マイクロフォーカスX線検査装置P70−II(焦点サイズ 10μm×10μm)を用い、富士フィルムメディカル(株)製イメージングプレートHRを内蔵したカセットを幾何学的拡大率3倍となるよう配置し、撮影条件(30KV 90μA 10秒)でX線拡大投影した。その後、富士フィルムメディカル(株)製デジタルX線診断装置:FCR7000MAにてイメージングプレートの画像情報の読み取りを行い、各試料のX線顕微像を得た。図6を参照しながら、以下に観察結果を詳細に記述する。
<Sample preparation and observation method>
(1) X-ray microscopic observation with a microfocus X-ray microscopic observation system First, for the purpose of non-destructively observing a perforated wound, a lump without removing any soft tissue from bone, Pony Industry Co., Ltd. Using a micro focus X-ray inspection apparatus P70-II (focus size 10 μm × 10 μm), a cassette containing an imaging plate HR manufactured by Fuji Film Medical Co., Ltd. is arranged so that the geometric magnification is 3 times, and imaging conditions are set. X-ray magnified projection was performed at (30 KV 90 μA 10 seconds). Thereafter, the image information of the imaging plate was read with a digital X-ray diagnostic apparatus: FCR7000MA manufactured by Fuji Film Medical Co., Ltd., and X-ray microscopic images of each sample were obtained. The observation results will be described in detail below with reference to FIG.

(2)マイクロCTシステムによるX線顕微立体観察
穿孔手術後2週目と4週目の穿孔創傷治癒部位に対し、日立メディコ社(株)製MCT-CB100MFにて同部位の三次元的構造精査を行った。試料は、ポリプロピレン製遠心沈降管を長軸方向割断した半円柱状チューブにセロハンテープにて固定し、装置試料台に固定した。撮影条件は(60kV 100μA 2分)とした。図7を参照しながら、以下に観察結果を詳細に記述する。
(2) X-ray microscopic observation with micro CT system Three-dimensional structural examination of the perforated wound healing site at 2 and 4 weeks after perforation surgery using MCT-CB100MF manufactured by Hitachi Medical Co., Ltd. Went. The sample was fixed to a semi-cylindrical tube obtained by cleaving a polypropylene centrifugal settling tube in the major axis direction with a cellophane tape, and then fixed to an apparatus sample stage. The shooting conditions were set to (60 kV 100 μA 2 minutes). The observation results will be described in detail below with reference to FIG.

(3)マイクロCTシステムによるX線顕微画像情報からの骨塩量定量分析
(2)のマイクロCT画像情報をラトックシステムエンジニアリング(株)製ソフトウエア TRI/3D-BON-BMDにて骨塩量の経時相対変化比較を行った。骨塩量の校正は、骨塩量ファントムの代用として、試料台ポリプロピレン製遠心沈降管の断面と、穿孔創傷部より遠位の皮質骨部を参照した。図8を参照しながら、以下に分析結果を詳細に記述する。なお、図8において、カラーバー左側の赤色相当部がもっとも骨塩量が高い部位をマッピングしており、カラーバー右側の緑色相当部にゆくに従い、骨塩量が相対的に低いところをマッピングしている。
(3) Quantitative analysis of bone mineral density from X-ray microscopic image information using micro CT system. Micro CT image information of (2) is analyzed for bone mineral content using software TRI / 3D-BON-BMD manufactured by Ratoku System Engineering Co., Ltd. A relative change over time was compared. The bone mineral content was calibrated by referring to the cross section of the sample table polypropylene centrifuge tube and the cortical bone distal to the perforated wound as a substitute for the bone mineral content phantom. The analysis results are described in detail below with reference to FIG. In FIG. 8, the red equivalent part on the left side of the color bar maps the part where the bone mineral content is the highest, and the part where the bone mineral quantity is relatively low maps to the green equivalent part on the right side of the color bar. ing.

〈結果〉
(1)マイクロフォーカスX線顕微観察システムによるX線顕微的観察
穿孔手術後2週目(図6A〜D):コントロールの個体(図6A)においては、穿孔したドリル直径に近い半円形陥没が明瞭に認められたが、珪藻土投与群(図6B:2%、C:5%、D:10%)はいずれも、半円形陥没部に仮骨様不透過部が認められ、その面積は、投与した珪藻土の濃度が増加するにつれ、その濃度に相関して増加した。さらに、珪藻土投与群においては、半円形陥没部の下底部の骨髄側に、皮質骨の顕著な修復性肥厚を認めた。
穿孔手術後4週目(図6E〜H):コントロールの個体(図6E)においては半円形陥没部が浅くなり、皿状の陥没にまで回復した。一方、珪藻土投与群((図6F:2%、G:5%、H:10%)においては、このような皿状陥没はすでにほとんど認められず、治癒した皮質骨の厚みは、投与した珪藻土の濃度が増加するにつれ、その濃度に相関して回復した。なお、珪藻土投与群においては、手術後2週目にみられた半円形陥没相当部位を満たす骨再生による不透過性は周囲と同等に回復し、さらに陥没部位下底相当部位付近の骨髄側に、皮質骨のわずかな修復性肥厚を認めた。
穿孔手術後5週目(図6I〜L):コントロール(図6I)も珪藻土投与群(図6J:2%、K:5%、L:10%)もすべての個体で半円形陥没部は消失し、ほぼ正常な皮質骨形態に回復した。なお、投与群では、手術後4週目に見られた皮質骨の骨髄側における修復性肥厚がまだ痕跡的に残存していた。
このように、下肢骨を穿孔したラットに対して珪藻土を経口投与することにより、穿孔部における骨再生の促進が認められた。
<result>
(1) X-ray microscopic observation with a microfocus X-ray microscopic observation system 2 weeks after perforation surgery (Figs. 6A to 6D): In the control individual (Fig. 6A), a semicircular depression close to the diameter of the drilled hole is clear In each of the diatomite administration groups (FIG. 6B: 2%, C: 5%, D: 10%), a callus-like impermeable portion was observed in the semicircular depression, and the area of As the concentration of diatomaceous earth increased, it increased in relation to the concentration. Furthermore, in the diatomite-administered group, a marked repairable thickening of cortical bone was observed on the bone marrow side of the lower bottom of the semicircular depression.
4 weeks after perforation surgery (FIGS. 6E-H): In the control individual (FIG. 6E), the semicircular depression became shallow and recovered to a dish-like depression. On the other hand, in the diatomite-administered group ((FIG. 6F: 2%, G: 5%, H: 10%), almost no such dish-like depression has already been observed, and the thickness of the healed cortical bone is determined by the administered diatomite. In the diatomite-treated group, the opacity due to bone regeneration that satisfies the semicircular depression equivalent site seen 2 weeks after the surgery was equivalent to that of the surroundings. Furthermore, a slight repair thickening of the cortical bone was observed on the bone marrow side in the vicinity of the site corresponding to the lower base of the depressed site.
5 weeks after perforation surgery (FIGS. 6I-L): The control (FIG. 6I) and the diatomaceous earth administration group (FIG. 6J: 2%, K: 5%, L: 10%) disappeared in all individuals. And recovered to almost normal cortical bone morphology. In the administration group, the repairable thickening on the bone marrow side of the cortical bone observed 4 weeks after the operation still remained tracely.
Thus, the promotion of bone regeneration in the perforated part was observed by orally administering diatomaceous earth to rats with perforated lower limb bones.

(2)マイクロCTシステムによるX線顕微立体観察
穿孔手術後2週目:
ボリュームレンダリング像(図7A):コントロールの個体においては、穿孔したドリル直径に近い半球形穿孔がまだ明瞭に認められた。一方、珪藻土10%投与群は明らかな半球形穿孔部の直径縮小が認められ、穿孔創傷の閉鎖治癒が進行していた。その一方で、珪藻土10%投与群では、周辺の皮質骨のX線透過性が亢進していた。
サジタル断面像(図7B):コントロールの個体においては、穿孔したドリル直径に近い半円形陥没が明瞭に認められた。また、その陥没下底部では骨髄腔といまだ大きく交通し、穿孔創傷の閉鎖治癒、皮質骨の再生はほとんど観察されなかった。一方、珪藻土10%投与群では、明らかな半円形陥没部の深さ縮小が認められ、陥没下底部では骨髄腔との交通が狭小化し、穿孔創傷の閉鎖治癒、皮質骨の再生の兆候が観察された。一方、近傍の皮質骨内部には層板骨間に空隙を認め、これがレンダリング像において観察された透過性亢進所見と一致した。この原因として、珪藻土投与群では、この時期には早々に創部の珪藻土による鉱物化とこれに続く石灰化置換が旺盛なため、近傍での骨石灰成分の吸収・溶出と創部への添加が協調的に活発であることによると考えられる。
穿孔手術後4週目:
ボリュームレンダリング像(図7C):コントロール、投与群とも半球形陥没は浅くなり、皿状にまで回復したが、コントロールの個体では中央に明らかに大きな穿孔部残存が認められた。投与群では、中央にきわめて小さな穿孔部残存を認めたに過ぎなかった。
サジタル断面像(図7D):コントロールの個体では半円形陥没は浅くなっているが、皮質骨の骨膜側の肥厚は不十分で、全層の厚みも薄い。一方、投与群は半円形陥没下底部と一層の境界を呈する半月状の骨再生部が認められ、皮質骨全層の厚みも周辺とほぼ同等まで回復した。
(2) X-ray microscopic observation with micro CT system 2 weeks after perforation surgery:
Volume rendering image (FIG. 7A): In the control individuals, hemispherical drilling close to the drilled drill diameter was still clearly visible. On the other hand, in the diatomaceous earth 10% administration group, a clear diameter reduction of the hemispherical perforated part was observed, and the closed healing of the perforated wound was progressing. On the other hand, in the diatomaceous earth 10% administration group, the X-ray permeability of the surrounding cortical bone was enhanced.
Sagittal cross-sectional image (FIG. 7B): In the control individuals, a semicircular depression close to the drilled drill diameter was clearly observed. In addition, the bottom of the depression still communicated with the bone marrow cavity, and the wound healing of the perforated wound and the regeneration of the cortical bone were hardly observed. On the other hand, in the diatomaceous earth 10% administration group, a clear reduction in the depth of the semicircular depression was observed, and at the bottom of the depression, traffic to the bone marrow cavity was narrowed, and signs of perforation wound healing and cortical bone regeneration were observed. It was done. On the other hand, a gap was found between the lamellar bones in the vicinity of the cortical bone, which was consistent with the findings of enhanced permeability observed in the rendered image. As a cause of this, in the diatomite administration group, mineralization of the wound by diatomite and subsequent calcification replacement are vigorous at this time, so the absorption and dissolution of bone lime components in the vicinity and the addition to the wound are coordinated. It is thought that it is because of being active.
4 weeks after perforation surgery:
Volume rendering image (FIG. 7C): In the control and administration groups, the hemispherical depression became shallow and recovered to a dish shape, but in the control individual, a clearly large perforated portion remained in the center. In the administration group, only a very small perforation remained in the center.
Sagittal cross-sectional image (FIG. 7D): Although the semicircular depression is shallow in the control individual, thickening of the cortical bone on the periosteum side is insufficient, and the thickness of all layers is also thin. On the other hand, in the administration group, a semicircular depression and a half-moon-shaped bone regeneration part having a single layer boundary were observed, and the thickness of the entire cortical bone layer recovered to almost the same as the surrounding area.

(3)マイクロCTシステムによるX線顕微画像情報からの骨塩量定量分析
穿孔手術後2週目:
ボリュームレンダリング像(図8A):コントロール、投与群とも半円形陥没を塞ぐように周辺よりずっとX線透過性の高い、すなわち相当に低密度の塞栓物質が認められた。
サジタル断面像(図8B):コントロールの個体では、陥没部の半分は低密度の塞栓物質で満たされているが、下底部は密度が粗で骨髄腔との穿孔部が閉鎖しておらず、密な再生骨による下底部の修復は認められなかった。一方、珪藻土投与群では、下底部にしっかりとした密な再生骨による修復が認められた。陥没部の塞栓物質の容積はコントロールより少なかったが、これはすでに、皮質骨の再生がコントロールより早く進行し、塞栓物質による初期の鉱物化から石灰化へ置換がコントロールより先行したためと考えられる。珪藻土投与群では穿孔部近傍の皮質骨の層板骨間で密度低下部の存在が認められ、これは、上述したように、この時期において、珪藻土投与によって、早期の創部の鉱物化とこれに続く石灰化置換が促進されるため、近傍からの骨石灰成分の吸収・溶出と創部への添加が協調的に活発であることによると考えられる。
穿孔手術後4週目(図8C):
ボリュームレンダリング像:大きな差異は認めなかったが、珪藻土投与群の方が、全体的にみて骨密度が高かった。
サジタル断面像(図8D):コントロールの個体では半円形陥没は浅くなっているが、皮質骨全層の厚みはまだ薄い。下底部の再生骨の骨密度は周辺部とほぼ同等であった。一方、珪藻土投与群では、半円形陥没下底部と一層の境界を呈する半月状の骨再生部が認められ、皮質骨厚みも周辺とほぼ同等まで回復し、骨密度も周辺と同等であった。従って、珪藻土投与群の骨の治癒は、構造強度的にも負荷に耐えうるまでに回復したと考えられる。
(3) Quantitative analysis of bone mineral content from X-ray microscopic image information by micro CT system 2 weeks after perforation surgery:
Volume rendering image (FIG. 8A): In both the control and administration groups, an embolizing substance having a much higher X-ray permeability than that of the surrounding area, ie, a considerably low density, was observed so as to block the semicircular depression.
Sagittal cross-section (FIG. 8B): In the control individuals, half of the depression is filled with low density embolic material, but the lower bottom is coarse and the perforation with the bone marrow cavity is not closed, No repair of the lower floor was observed with dense regenerated bone. On the other hand, in the diatomite-administered group, repair was confirmed with a dense and dense regenerative bone at the bottom. The volume of the embolic material in the depression was less than that of the control, which is presumably because cortical bone regeneration progressed faster than the control, and the replacement from the initial mineralization to calcification by the embolic material preceded the control. In the diatomite-administered group, there was a decrease in density between the cortical bone lamellae in the vicinity of the perforated part, and as mentioned above, this was due to the early mineralization of the wound by the administration of diatomite as described above. Since the subsequent calcification replacement is promoted, it is considered that the absorption and elution of bone lime components from the vicinity and the addition to the wound site are cooperatively active.
4 weeks after perforation surgery (FIG. 8C):
Volume rendering image: Although there was no significant difference, the diatomaceous earth group had higher bone density overall.
Sagittal cross-sectional image (FIG. 8D): Although the semicircular depression is shallow in the control individual, the thickness of the entire cortical bone is still thin. The bone density of the regenerated bone in the lower bottom was almost the same as that in the surrounding area. On the other hand, in the diatomite-administered group, a semicircular depression and a half-moon shaped bone regenerating part with a single layer boundary were observed, the cortical bone thickness recovered to almost the same as the periphery, and the bone density was also equivalent to the periphery. Therefore, it is considered that the bone healing of the diatomaceous earth administration group has recovered to the point where structural strength can withstand the load.

本発明によれば、費用面でも労力面でも低コストで準備可能な、欠陥あるいは欠損した硬組織の再生に有用な物質を含有する硬組織再生促進剤、医薬組成物、食品組成物、食品、動物用飼料等を提供することができる。   According to the present invention, a hard tissue regeneration accelerator, a pharmaceutical composition, a food composition, a food containing a substance useful for regeneration of a defective or deficient hard tissue that can be prepared at low cost in terms of cost and labor, Animal feeds and the like can be provided.

Claims (5)

珪藻土を有効成分として含有する硬骨再生促進剤であって、
骨膜下に投与することを特徴とする硬骨再生促進剤。
A bone regeneration promoter containing diatomaceous earth as an active ingredient,
A bone regeneration promoter characterized by being administered subperiosteally.
珪藻土を有効成分として含有する硬骨再生促進剤であって、
骨髄腔に投与することを特徴とする硬骨再生促進剤。
A bone regeneration promoter containing diatomaceous earth as an active ingredient,
A bone regeneration promoter characterized by being administered to the bone marrow cavity.
珪藻土を有効成分として含有する硬骨欠陥又は欠損の治療のための医薬であって、
骨膜下投与製剤であることを特徴とする医薬。
A medicament for treating a bone defect or defect containing diatomaceous earth as an active ingredient,
A medicament characterized by being a subperiosteal preparation.
珪藻土を有効成分として含有する硬骨欠陥又は欠損の治療のための医薬であって、
骨髄腔投与製剤であることを特徴とする医薬。
A medicament for treating a bone defect or defect containing diatomaceous earth as an active ingredient,
A pharmaceutical comprising a bone marrow cavity preparation.
前記硬骨欠陥又は欠損が、抜歯、インプラントの埋入と固定、歯内・歯周疾患の原因菌の毒素、感染、化膿、骨破壊、吸収、又は骨折によることを特徴とする請求項3または4に記載の医薬。 The bone defect or defects, tooth extraction, implantation of an implant with fixed, toxin causative bacteria of endodontic-periodontal disease, infection, suppuration, bone destruction, absorption, or claim 3 or 4, characterized in that by fracture The medicament according to 1.
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CN101573127B (en) 2013-04-10
US20100143488A1 (en) 2010-06-10
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KR20090098783A (en) 2009-09-17

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